Form_1_Vendor_Declaration_Statement.pdf
PDF 122 KB Posted
- Solicitation number
- 25-8523
- Issued by
- Collier County, Florida
About this file
This is a Vendor Declaration Statement form issued by the Collier County Board of County Commissioners Procurement Services Division in Florida for the Bypass Pump Preventative Maintenance, Repair and Replacement solicitation. The form requires vendors to declare that their bid submission is made without collusion or fraud and in compliance with the County's Procurement Ordinance and Ethical Standards. Vendors must certify that no elected or appointed County officials, their spouses, or household members have a financial interest exceeding one percent in the vendor's business or any subcontractors providing services representing more than one percent of the total bid amount. The vendor must confirm full examination and acceptance of all solicitation instructions, purchase order terms, requirements, and specifications, and agree to accept either a Purchase Order or formal County contract upon award. The contract term is three years with two optional one-year renewals, with bids due February 9, 2026, at 3:00 p.m. via electronic submission through the County's procurement platform.
The solicitation anticipates approximately 150 hours for Site Superintendent services, 100 hours for Supervisor services, and 300 hours for Service Technician services, with all-inclusive hourly rates covering travel, equipment, and labor. Vendors must maintain diesel engine repair and bypass pump repair certifications, provide 24/7 availability, and retain three-year service records. Repair work under $5,000 requires verbal or written County approval, while repairs exceeding $5,000 require a detailed three-business-day quote. The contract is grant-funded, potentially through FEMA Public Assistance, requiring E-Verify enrollment, appropriate business tax receipts, professional licenses, and a Florida Certificate of Conduct Business. The County historically spent approximately $45,000 annually but increased spending to $14 million in 2022 due to Hurricane Ian recovery efforts. Vendors must agree not to mark up subcontractor fees if the subcontractor is a related entity, defined as any parent, subsidiary, or entity in which the company holds ownership interest.
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Text version
Version 2 9.2.25
Procurement Services Division
Form 1: Vendor Declaration Statement
BOARD OF COUNTY COMMISSIONERS
Collier County Government Complex Naples, Florida 34112
Dear Commissioners:
The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and the bid/proposal submittal is in every respect fair and made in good faith, without collusion or fraud and in compliance with the Procurement Ordinance, Section Seven, Ethical Standards.
The vendor certifies to the best of their knowledge or belief, no elected/appointed official or employee of Collier County, a spouse thereof or other person residing in the same household, is financially interested, directly or indirectly, in providing the goods or services specified in any submitted bid or proposal. A financial interest is defined as ownership of more than one percent (1%) of the total assets or capital stock or being an officer, director, manager, partner, proprietor, or agent of the business submitting the bid or proposal or of any subcontractor or supplier thereof providing goods or services in excess of one percent (1%) of the total bid or proposal amount. Additionally, the vendor, on company letterhead, must divulge at the time of the submittal of a bid or proposal, any relative, other than those already specified, of an elected or appointed official or employee of the County who has a financial interest, in providing the goods or services specified in the bid or proposal. The County, at its sole discretion, will determine whether a conflict exists and whether to accept or reject the bid or proposal.
The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted.
The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed in this solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor’s bids.
Further, the Vendor agrees that if awarded a contract for these goods and/or services and a subcontractor is a related entity to the Vendor, then the Vendor shall not mark-up the subcontractor’s fees. A related entity shall be defined as any parent or subsidiary of the company and any business, corporation, partnership, limited liability company or other entity in which the company or a parent or a subsidiary of the company holds any ownership interest, directly or indirectly.
Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge and a duly corporate authorized representative with signature authority.
Company Name: _________________________________________
Date: _____________________________
Signature: ____________________________________________ Title: _____________________________
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